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Treatment for Younger Siblings of Participants in a Home-Based Intensive Paediatric Feeding Programme in Australia
BEHAVIOUR CHANGE ( IF 1.355 ) Pub Date : 2020-11-26 , DOI: 10.1017/bec.2020.14
Tessa Taylor , Alayna Haberlin

Early childhood feeding problems can be challenging. Children who limit their food consumption may significantly impact multiple critical areas of development. Effective treatment should be accessed as early as possible but has been limited to a handful of US hospital programmes. Feeding problems affect both children with and without disability, and families may struggle with multiple children having feeding difficulties. We provided short-term (less than 2 weeks), in-home, intensive, behaviour-analytic feeding intervention to two children with typical development who were younger siblings of children already in the programme. We used a withdrawal/reversal design to assess the effects of nonremoval of the spoon, re-presentation, contingent and noncontingent access to tangibles, differential attention, and response cost. This multi-component intervention was effective in increasing the consumption of a wide variety of foods at regular texture and self-feeding for both participants. Variety was increased to over 60 foods from all food groups. Admission goals were met (100%). We trained caregivers to high procedural integrity and generalised the protocol. We provided actual plate picture examples of family meals consumed where the brothers and parents ate the same meal. Caregiver satisfaction and social acceptability were high. Gains were maintained at 3-year follow-up where parents reported problems were fully resolved.

中文翻译:

澳大利亚以家庭为基础的儿科强化喂养计划参与者的年幼兄弟姐妹的治疗

幼儿喂养问题可能具有挑战性。限制食物消费的儿童可能会显着影响多个关键发展领域。应尽早获得有效治疗,但仅限于少数美国医院项目。喂养问题影响有残疾和没有残疾的儿童,家庭可能会因多个儿童有喂养困难而苦苦挣扎。我们为两名发育正常的儿童提供了短期(不到 2 周)、在家中、强化、行为分析的喂养干预,他们是已经参加该计划的儿童的弟弟妹妹。我们使用撤回/逆转设计来评估不移除勺子、重新呈现、偶然和非偶然获得有形物品、差异注意力和响应成本的影响。这种多成分干预有效地增加了两个参与者以常规质地和自行进食的多种食物的消费量。品种增加到所有食物组的 60 多种食物。达到录取目标(100%)。我们对护理人员进行了高度程序完整性培训并推广了该协议。我们提供了兄弟和父母吃同一顿饭的家庭餐的实际盘子图片示例。看护者满意度和社会接受度都很高。在父母报告的问题得到完全解决的 3 年随访中保持了收益。我们对护理人员进行了高度程序完整性培训并推广了该协议。我们提供了兄弟和父母吃同一顿饭的家庭餐的实际盘子图片示例。看护者满意度和社会接受度都很高。在父母报告的问题得到完全解决的 3 年随访中保持了收益。我们对护理人员进行了高度程序完整性培训并推广了该协议。我们提供了兄弟和父母吃同一顿饭的家庭餐的实际盘子图片示例。看护者满意度和社会接受度都很高。在父母报告的问题得到完全解决的 3 年随访中保持了收益。
更新日期:2020-11-26
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